Organization Active NPI

Obstetrical and Gynecological Associates, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1891797999
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D9508 Issued in TX
Legal business name
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PLLC
Practice address
7900 Fannin St
Suite 4000
Houston, TX 77054-2934
Phone
(713) 512-7000
Fax
(713) 512-7082
NPI assigned
Jun 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rory Pena
Title
Credentialing
Phone
(713) 512-7027

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X D9508 TX Primary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X TX
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X TX
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X TX
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X TX
Clinical Medical Laboratory 291U00000X TX

Addresses

Primary practice location

7900 Fannin St
Suite 4000
Houston, TX 77054-2934

Mailing address

PO Box 4048
Houston, TX 77210-4048
Phone (713) 512-7000

Other identifiers 4

IdentifierTypeStateIssuer
144808601MedicaidTX
147769701MedicaidTX
CN9938OtherTXRAILROAD MEDICARE
079778901MedicaidTX

Other names 1

  • Obstetrical and Gynecological Associates, P.A. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1891797999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4048",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104048",
            "telephone_number": "713-512-7000",
            "fax_number": "713-512-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 4000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542934",
            "telephone_number": "713-512-7000",
            "fax_number": "713-512-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "713-512-7027"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D9508",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144808601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147769701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN9938",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079778901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obstetrical and Gynecological Associates, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.